Please note this is the NTSC version of the game which is compatible with PAL systems Any future DLC may require a US Nintendo account The Binding of Isaac Afterbirth is a randomly generated action-shooter with heavy RPG & roguelike elements Following Isaac on his journey players will find bizarre treasures that change Isaac&s form giving him super human abilities & enabling him to fight off droves of mysterious creatures discover secrets & fight his way to safety Over 600 items & weapons Over 1000 hours of gameplay 5 unique modes of play 13 unique playable characters 20 professionally animated cartoon endings